| Koa Intuitive Therapy Llc | |
|
2002 Route 17m Ste 1 Goshen NY 10924-5236 | |
| (845) 551-8772 | |
| Not Available |
| Full Name | Koa Intuitive Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2002 Route 17m Ste 1, Goshen, New York |
| Authorized Official Name and Position | Liza Bove (OWNER) |
| Authorized Official Contact | 8455518772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koa Intuitive Therapy Llc 2002 Route 17m Ste 1 Goshen NY 10924-5236 Ph: () - | Koa Intuitive Therapy Llc 2002 Route 17m Ste 1 Goshen NY 10924-5236 Ph: (845) 551-8772 |
| NPI Number | 1851956676 |
|---|---|
| Provider Enumeration Date | 05/07/2019 |
| Last Update Date | 05/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851956676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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